Notes to SEFA
Basis of Accounting: The accompanying Schedule of Expenditures of Federal Awards (SEFA) includes the federal grant activity of Cedars-Sinai Health System (the Health System) and is presented on the cash basis of accounting. The information in the SEFA is presented in accordance with the requirements of Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). Therefore, some amounts presented in the SEFA may differ from amounts presented in, or used in the preparation of, the consolidated financial statements of the Health System. For purposes of the SEFA, federal awards include any assistance provided by a federal agency directly or indirectly in the form of grants, contracts, cooperative agreements, loan and loan guarantees, or other non-cash assistance. Negative amounts shown in the SEFA represent adjustments or credits made in the normal course of business to amounts reported as expenditures in prior years. The SEFA does not include payments received under the traditional Medicare and Medicaid reimbursement programs, as these programs are outside the scope of the Uniform Guidance. There were no donated goods and personal protective equipment received from federal sources that required recognition or disclosure in the notes to the SEFA.
The Uniform Guidance provides for a 10% de minimis indirect cost rate election; however, the Health System did not make this election and uses a negotiated indirect cost rate or the rate in the grant agreement.
In fiscal year 2025, the Health System received approval from the Federal Emergency Management Agency for two projects related to the reimbursement of eligible expenditures of $40,192,955 incurred in previous fiscal years. These previous years’ expenditures are included in the SEFA in the current year in accordance with guidance provided by the U.S. Department of Homeland Security.
In accordance with instruction distributed by the Federal Audit Clearinghouse, when Assistance Listing Numbers are not available, the federal awards are presented by agency and the suffix “U” followed by a two-digit number (e.g., U01, U02, etc.) for the federal identification numbers. If the federal program is part of the research and development cluster and the Assistance Listing Number is unknown, the federal awards are presented by agency and the suffix “RD” in the Assistance Listing three-digit extension field.